Hologic - Frequently Asked Questions

Frequently Asked Questions

Is there a code for billing breast ultrasound with color flow for an abnormality seen on a mammogram?

It is always a challenge to stay ahead of changes to medical codes for billing. My reference guide is the Current Procedural Terminology (CPT) Professional Edition 2007. This codebook offers the most current and official CPT coding rules and guidelines.

After some research I found that the only code shown for breast ultrasound is 76645. This code covers real time breast ultrasound with image documentation with no mention of color flow. The ultrasound introduction area states "Doppler evaluation of vascular structures (other than color flow used only for anatomic structure identification) is separately reportable." With the information provided, I would say it is not a billable service. However, I suggest that you check with individual payers (e.g., Medicare, Medicaid, other private insurance) for their specific reimbursement policies.

For more information about CPT codes, AMA products and services, visit www.amabookstore.com.

Who has the best CR digital mammography system and how much does it cost. Is the image quality better than Hologic full field digital?

CR has become an accepted method of imaging in general radiography, but has yet proven itself in digital mammography in the United States. The FDA only recently approved a Computed Radiography (CR) system for breast imaging from FUJIFILM Medical Systems. To date, it is the only one available. Pricing information would need to be obtained directly from them, as I am sure it varies depending on your specific needs.

CR is based on indirect technology. The indirect conversion detectors absorb x-rays giving off a cloud of light that is then detected by photodiodes. This diffused light has a negative impact on resolution and ultimately the overall quality of the image.

The Hologic Selenia digital mammography system uses direct technology, which eliminates the need to convert, x-rays to light, thereby generating an image directly from x-rays. The result is a sharp digital image, and better contrast with greater consistency.

To learn more about the differences between direct and indirect technology, visit http://www.hologic.com.